th
Thursday, May 8, 2014, 5:00 pm
Mount Sinai Medical Center, Founders Room
South Florida Chapter of the American College of Surgeons
PO Box 540363, Opa-Locka, FL 33054

Phone: 305-687-1367

Fax: 305-687-2490

E-mail: bill@bouckmgmt.com
Colorectal
Surgery • General Surgery • Neurosurgery • Obstetrics & Gynecology • Oncologic Surgery • Ophthalmology
Orthopedic • Otorhinolaryngology • Pediatric Surgery • Plastic Surgery • Thoracic Surgery • Urology • Vascular Surgery
NOTES:

Abstracts must be received by February 10, 2014

All abstracts submitted will be included in a Digest of Abstracts and distributed to all attendees at the program

Abstract will be blinded and scored

If your paper is selected for presentation, you will be notified by February 28, 2014

For questions, contact Bill Bouck, Chapter Administrator at (305) 687-1367
RULES FOR SUBMISSION OF ABSTRACTS:

Limit to one abstract entry per Primary Author, who, if selected, will present

Entry open to Surgical Fellows, Residents and Medical Students

Include names of authors and school ONLY where requested. KEEP THESE REFERENCES OUT
OF ABSTRACT TEXT BECAUSE OF BLINDING FOR THE GRADING PROCESS

Type all information. (simply tab between fields to move forward and use shift/tab to move backwards)
SCORING:

Scoring categories are as follows:

Clinical Surgery

Surgical Research

Selection for presentation is based on:

Originality and Purpose

Methods (appropriately stated to achieve the objective)

Results

Conclusions (justified by the findings?)
PRESENTATIONS:

Presentations are limited to seven minutes, followed by a five minute question and answer period.

Presentations are graded on:

Slide Quality

Lecture Quality

Study Design

Clinical Impact
Presenters must email their PowerPoint Presentation to bill@bouckmgmt.com and should also bring their PowerPoint Presentation on a disk to the meeting.
AWARDS:

Cash awards of $500, $250 and $100 will be awarded to the first three winners in each category.

th
Thursday, May 8, 2014, 5:00 pm
Mount Sinai Medical Center, Founders Room
South Florida Chapter of the American College of Surgeons
PO Box 540363, Opa-Locka, FL 33054

Phone: 305-687-1367

Fax: 305-687-2490

E-mail: bill@bouckmgmt.com
Colorectal Surgery • General Surgery • Neurosurgery • Obstetrics & Gynecology • Oncologic Surgery • Ophthalmology
Orthopaedic • Otorhinolaryngology • Pediatric Surgery • Plastic Surgery • Thoracic Surgery • Urology • Vascular Surgery
Category: ______ Clinical Surgery ______ Surgical Research (check one)
Title of Abstract:
Learning Objective:
Upon completion of this presentation, participants will be able to…
Understand the different indications for the use of RYGB other than a weight loss procedure.
______ Fellow ______ Resident ______ Student (check one)
Institution: Cleveland Clinic Florida
Department: MIS Bariatric Surgery
Primary Author Mailing Address: alfarak@ccf.org
Phone: 412-178-5583
Email: alfarak@ccf.org
Fax: 954-659-5256
Additional Authors (list in the order as they should appear on the program) :
Emanuela Silva MD, Sean Johnson MD, Rama Ganga MD, Emanuele Lo Menzo MD, PhD, FACS.,
Samuel Szomstein MD, FACS., Raul Rosenthal MD, FACS.
SEND ABSTRACT & QUESTIONS TO:
Bill Bouck

th
Thursday, May 8, 2014, 5:00 pm
Mount Sinai Medical Center, Founders Room
South Florida Chapter of the American College of Surgeons
PO Box 540363, Opa-Locka, FL 33054

Phone: 305-687-1367

Fax: 305-687-2490

E-mail: bill@bouckmgmt.com
Colorectal Surgery • General Surgery • Neurosurgery • Obstetrics & Gynecology • Oncologic Surgery • Ophthalmology
Orthopaedic • Otorhinolaryngology • Pediatric Surgery • Plastic Surgery • Thoracic Surgery • Urology • Vascular Surgery
Key
Key words: gastroparesis- malignant neoplasm-catastrophy-laparoscopic gastrectomy - open gastrectomy - Roux and Y reconstruction -
The Bariatric and Metabolic Institute and the Section of Minimally Invasive and Endoscopic Surgery, Cleveland Clinic Florida,
Weston, Florida, USA.
Introduction
Although Roux-En-Y Gastric Bypass (RYGB) is frequently performed for weight loss purposes, it may be also indicated for intractable gastroesophageal reflux disease (GERD), gastroparesis, and after gastrectomy for malignancies. There is lack of published literature for performing gastric bypass as a non weight loss procedure. Our aim is to assess the indications, short and long terms outcomes of RYGB for non bariatric purposes.
Materials & methods
A restrospective descriptive analysis of non bariatric population who underwent RYGB at a single institution was conducted.
All patients who underwent RYGB for non bariatric purposes between 2001 and 2013 were included. Demographics as age, gender,
BMI, surgical approach, extent of resection, intraoperative complications, postoperative complications and length of surgery were assessed. Post operative complications were further divided into early complications (< 30 days) versus late complications. Length of stay, follow up, as well as previous surgeries were also evaluated.
Results
A total of 55 patients were incl uded, of which 69.1 % were females, the mean age was 56.75 years (SD ± 14.74), the mean BMI
29.46
, (SD ± 8.64), the mean length of surgeries was 161.54 minutes (SD ± 74.33). The mean RYGB limb length was 90.61 cm (SD
± 18.64), and the mean length of stay was 7.31 days (SD ± 4.8). The main indications for surgery included postoperative catastrophies (leaks, fistulas, and obstructive-like symptoms) 29.09 %, gastroparesis 16.36 %, gastric neoplasm 38.18 %, gastroesophageal reflux disease (GERD) 14.54 %, and one case of superior mesenteric artery syndrome (1.81 %). A total of 49 were done laparoscopically (89.09 %) and 6 (10.90 %) in the open. Overall the mean follow up was 13.29 (SD ± 16.92) months in laparoscopic and 16.08 (SD ± 29.06) months in the open group. Intraoperative complications as Bleeding occurred in 1.81% (1),and
Iatrogenic bowel perforation in 1.81% (1) in the laparoscopic group, and 3.63 % (2) and 0%, respectively in the open group (p=0.78 for bleeding, p=1.00 for bowel perforation). Overall early postoperative complication rates were 18.18 % (10) and 1.81 % (1) for laparoscopy and open group respectively (p=0.08). The most frequent complications were 2 cases of obstructions (3.63 %) and 2 anastomotic leaks (3.63 %) in the laparoscopic group, and 1 Dumping syndrome (1.81 %) in the open group. Long term complications were 18.18 % (10) for the laparoscopic arm [3 with ulcer (5.45 %), 3 microdeficiencies (5.45 %)] and 1.81 % (1) for the open procedure (1.81 % enterocutaneous fistula) with p=0.76.
Conclusion
RYGB can be safely performed for non bariatric purposes like gastroperesis, GERD, gastric cancer or after a catastrophy from a previous surgery.
Title:
Learning Objective: Upon completion of this presentation, participants will be able to…
Understand the different indications for the use of RYGB other than a weight loss procedure.
Primary Author:
Konstantinos Alfaras-Meilainis, MD